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Individual

DAVID W GREENWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APN

Contact information

Practice address
7526 LOUIS PASTEUR DR, #339, SAN ANTONIO, TX 78229-4001
(210) 567-5555
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 567-5555

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
693842
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208866801
TX
05
208866802
TX
05
208866803
TX
05
208866804
TX
01
880N99
BCBS
TX
01
P00951173
RAILROAD
TX
Enumeration date
08/26/2009
Last updated
07/10/2015
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